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U.S. National Institutes of Health
Last Updated: 01/08/14

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN YEMEN

Cancer All cancers
excl. non-melanoma
skin cancer
Hematological Malignancies Breast Head & Neck Liver Gynecological Esophagus Stomach Colorectal Urological Brain, nervous system
New Cancer Cases 10249 2032 1253 1179 842 512 498 472 434 370 314
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.24 0 100.00 44 5 56.67 20 33 70 73.75 100
Number (#) of patients needing surgery 5149 0 1253 519 42 290 100 156 304 273 314
Average length of stay (ALOS) for surgery 6.81 0 5 6.8 10 6.33 9 5 9 8 9
# of surgery beds/day 96.05 0.00 17.15 9.66 1.15 5.03 2.45 2.13 7.49 5.98 7.74
CHEMOTHERAPY % of patients requiring chemo 76.12 100 100 66 20 66.67 90 66 90 62.5 100
# of patients requiring chemo 7801.23 2032 1253 778 168 341 448 312 391 231 314
ALOS for chemo 3.44 6.5 3 3.4 3 3 3 3 3 3.5 3
# of chemo beds/day 73.47 36.16 10.29 7.24 1.38 2.80 3.68 2.56 3.21 2.22 2.58
RADIOTHERAPY % of patients requiring RT 56.98 32.5 100 71 20 40 90 50 25 41.25 100
# of patients 5839.37 660 1253 837 168 205 448 236 109 153 314
# of admitted patients 1459.84 165 313 209 42 51 112 59 27 38 79
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 19.98 2.26 4.29 2.86 0.58 0.70 1.53 0.81 0.37 0.52 1.07
ONCOLOGY BEDS Maximum # of beds/day 190 39 32 20 4 9 8 6 12 9 12
# of 24 bed oncology wards 8 2 2 1 1 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 5 5 0 0 0 0 0 0 0 0 0
Surgical Oncologists 11 0 3 2 1 1 1 1 1 1 1
Radiation/Clinical Oncologists 52 11 7 6 5 3 3 3 3 2 2
Urologic Oncologists 1 0 0 0 0 0 0 0 0 1 0
Gynecologic Oncologist 2 0 0 0 0 2 0 0 0 0 0
Neuro-Oncologists 1 0 0 0 0 0 0 0 0 0 1
Pathologists 21 5 3 3 2 2 1 1 1 1 1
PHARMACY Onco-Pharmacists 32 8 8 4 4 4 4 4 4 4 4
Onco-Pharmacy Technicians 48 12 12 6 6 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 21 5 3 3 2 2 1 1 1 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 71 8 16 11 3 3 6 3 2 2 4
Medical Physicists 24 3 6 4 1 1 2 1 1 1 2
Linac Engineers 6 1 2 1 1 1 1 1 1 1 1
Radiation Oncology Nurses 24 3 6 4 1 1 2 1 1 1 2
Linacs / Co 60 Megavolt Units 12 2 3 2 1 1 1 1 1 1 1
# of Brachytherapy units 6 1 2 1 1 1 1 1 1 1 1
# CT simulators 6 1 2 1 1 1 1 1 1 1 1
# of treatment planning computers 6 1 2 1 1 1 1 1 1 1 1
# of dosimetry/QA package 6 1 2 1 1 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 120 30 30 15 15 15 15 15 15 15 15

CANCER INCIDENCE IN GOVERNORATES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2009

Ta'izz [Taiz] Al-Ḥudaydah
Population 2727200 2470700
New Cancer Cases 1220 1105
SURGERY % of patients needing surgery 50.24 50.24
Number (#) of patients needing surgery 613 555
Average length of stay (ALOS) for surgery 6.81 6.81
# of surgery beds/day 11.43 10.36
CHEMOTHERAPY % of patients requiring chemo 76.12 76.12
# of patients requiring chemo 929 841
ALOS for chemo 3.44 3.44
# of chemo beds/day 8.75 7.92
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 695 630
# of admitted patients 174 157
ALOS 5 5
# of RT beds/day 2.38 2.15
ONCOLOGY BEDS Maximum # of beds/day 23 21
# of 24 bed oncology wards 1 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 2
Radiation / Clinical Oncologists 7 6
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 3 3
PHARMACY Onco-Pharmacists 4 4
Onco-Pharmacy Technicians 6 6
PALLIATIVE CARE Palliative Care Specialists 3 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 9 8
Medical Physicists 3 3
Linac Engineers 1 1
Radiation Oncology Nurses 3 3
Linacs / Co 60 Megavolt Units 2 2
# of Brachytherapy units 1 1
# CT simulators 1 1
# of treatment planning computers 1 1
# of dosimetry/QA package 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 15 15

Key to Calculations

  1. Number of beds/day = number who require surgery*ALOS/365.25
  2. Oncology beds per day = beds for surgery + beds for chemotherapy + beds for radiation therapy
  3. Number of 24 bed oncology wards = (Oncology beds per day)/24
  4. Number of Hematologist oncologists = (2/1000)*hematologic malignancy cases
  5. Number of Radiation Oncologists = (5/1000)*total number of cancer cases
  6. Number of Surgical oncologists = (number of surgeries)/480. This is based on 2 surgeries per day, 5 days a week for 48 weeks)
  7. Number of GYN-oncologists = (2/1000)*GYN cancer cases
  8. Number of Urologic Oncologists = (2/1000)* urological cancer cases
  9. Number of Neuro-Oncologists = (2/1000)* brain, nervous system cancer cases
  10. Number of pathologist = (2/1000)*total number of cancer cases
  11. Number of Pharmacists = 4* number of 24 bed oncology wards
  12. Number of Pharmacy Technicians = 6 * number of 24 bed oncology wards
  13. Number of Palliative Care Specialists = (2/1000)*total number of cancer cases
  14. Number of Medical Physicists = (4/1000) * number of patients requiring radiation therapy
  15. Number of Radiation Technicians = (12/1000) * number of patients requiring radiation therapy
  16. Number of Linac Engineers = (1/1000) * number of patients requiring radiation therapy
  17. Number of Radiation Therapy nurses = (4/1000) * number of patients requiring radiation therapy
  18. Number of Linacs = (2/1000) * number of patients requiring radiation therapy
  19. Number of Brachy therapy units/CT simulators/treatment planning computers/ dosimetry/QA package = (1/1000) * number of patients requiring radiation therapy
  20. Number of nurses = 15*number of 24 bed oncology wards (1 head nurse + 1 nurse specialist + 13 nurses for each 24 bed oncology ward).
  21. The table below lists the estimated percentage of patients requiring surgery, chemotherapy and radiation therapy for the different types of cancers as well as the average length of stay (ALOS) in hospital (in days) for each of these treatments.
Type of cancer % of patients requiring Surgery ALOS % of patients requiring Chemotherapy ALOS % of patients requiring Radiation therapy ALOS
Cervix uteri Gynecological 20 5 80 3 80 5
Corpus uteri Gynecological 80 5 20 3 20 5
Ovary Gynecological 70 9 100 3 20 5
Gynecological cancers 56.67 6.33 66.67 3 40 5
Larynx Head & Neck 50 9 50 3 75 5
Lip, oral cavity Head & Neck 40 9 80 3 80 5
Nasopharynx Head & Neck 0 0 100 3 100 5
Other pharynx Head & Neck 40 9 80 3 80 5
Thyroid Head & Neck 90 7 20 5 20 5
Head and Neck cancers 44 6.8 66 3.4 71 5
Hodgkin lymphoma Hematological Malignancy 0 0 100 5 40 5
Leukaemia Hematological Malignancy 0 0 100 7 20 5
Multiple myeloma Hematological Malignancy 0 0 100 7 20 5
Non-Hodgkin lymphoma Hematological Malignancy 0 0 100 7 50 5
Hematological Malignancies 0 0 100 6.5 32.5 5
Bladder Urological 100 9 50 3 50 5
Kidney Urological 75 9 50 3 20 5
Prostate Urological 20 9 50 3 65 5
Testis Urological 100 5 100 5 30 5
Urologica cancers 73.75 8 62.5 3.5 41.25 5
Brain, nervous system 100 9 100 3 100 5
Breast 100 5 100 3 100 5
Colorectal 70 9 90 3 25 5
Gallbladder 33 9 66 3 50 5
Kaposi sarcoma 0 0 70 3 50 5
Liver 5 10 20 3 20 5
Lung 25 10 50 3 90 5
Melanoma of skin 100 3 50 3 50 5
Esophagus 20 9 90 3 90 5
Pancreas 10 10 50 5 50 5
Stomach 33 5 66 3 50 5
All cancers excl. non-melanoma skin cancer average of top 10 cancers